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Hialeah

415 W 49th St, Hialeah, FL 33012 (305) 364-3404 South Florida / Miami-Dade region Map ↗
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South Florida / Miami-Dade · Miami-Dade County · value based senior primary care

Hialeah clinic

2 clinicians across 2 organization NPIs · 15 Medicare beneficiaries served · 58 services · $3K Medicare paid (2024)

2
clinicians on site
75%
of Miami-Dade County Medicare beneficiaries choose Medicare Advantage (June 2026)
99%
of prescriptions filled under Medicare Advantage plans
4.41
Complex care panel: HCC risk score, well above the 1.00 national average
15
Medicare beneficiaries cared for in 2024
1
clinician offering telehealth
32yrs
average years in practice

Care team mix

Active clinicians by credential group

2cliniciansAdvanced practiceAdvanced practice · 50%PhysiciansPhysicians · 50%

Complex care panel

HCC risk score, beneficiary weighted. Higher means more chronic conditions managed per patient.

benchmark 1.04.41HCC risk score1.0 = national average0.52.5

Specialties

Clinicians per specialty

Internal MedicineInternal Medicine1Physician AssistantPhysician Assistant1

Beneficiary age

Medicare beneficiaries served, by age band

Under 65Under 65065 to 7465 to 74075 to 8475 to 84085 and over85 and over0

Medicare Advantage in Miami-Dade County

Share of the county's Medicare beneficiaries in Medicare Advantage, by year · 524,508 beneficiaries as of June 2026 · 47% aged 75 and over

201867.4%201969.1%202070.8%202172.4%202273.4%202374.4%202475.1%202575.1%

Medicare Advantage prescriptions

Part D claims under MA-PD plans (2024)

99%MA-PD claimsMA-PD plansMA-PD plans · 99%Stand-alone PDPStand-alone PDP · 1%

Organizations at this address

Care team by organization NPI

Group 1Physicians: 1Advanced practice: 1PhysiciansAdvanced practiceOther

Services by category

Every HCPCS line billed by the care team, grouped

Office visitsOffice visits17

Top procedures

Highest volume HCPCS codes across the clinic

99214 · Established patient office visit99214 · Established patient office visit17

Specialty × service heat map

Where each specialty's volume lands, services by category

Office visitsOffice visitsInternal MedicineInternal MedicineInternal Medicine · Office visits: 1717Physician AssistantPhysician AssistantPhysician Assistant · Office visits: 0

Drill down by procedure category

Open a category for every code with beneficiaries, services and Medicare paid.

CategoryCodesBenesServicesPaid
Office visits11117$2K
CodeDescriptionBenesServicesPaid
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more1117$2K

Drill down by specialty

Each specialty's panel, volume and Medicare Advantage share.

SpecialtyCliniciansBenesServicesMA-PD
Internal Medicine 1 MD/DO · 0 APP1155899%
4.41
HCC risk score
$3K
Medicare paid
CategoryBenesServicesPaid
Office visits1117$2K
Physician Assistant 0 MD/DO · 1 APP10098%

Drill down by organization NPI

Clinicians bill Medicare through these organization NPIs at this address.

OrganizationCliniciansBenesServicesPaid
Group 1 NPI 1033395397 · 158 statewide21558$3K
1 / 1
Physicians / APPs
4.41
HCC risk score
99%
MA-PD share

Specialties: Physician Assistant (1), Internal Medicine (1)

About this data. Figures are compiled from CMS public use files and the NPI Registry, which publish on a lag and are not real time. Medicare utilization and payments reflect calendar year 2024 fee-for-service Part B claims; Part D prescribing reflects 2024; county enrollment is as of June 2026; registry and quality data were refreshed Sep 18, 2026. Medicare Advantage claims are not published by CMS, so Medicare Advantage indicators here are county enrollment and MA-PD prescription share. CMS omits low volume lines (fewer than 11 beneficiaries), so totals are conservative. Card generated 2026-09-24.